Pembrolizumab for the treatment of thoracic malignancies: current landscape and future directions

Future Oncol. 2016 Jan;12(1):9-23. doi: 10.2217/fon.15.294. Epub 2015 Dec 3.

Abstract

New insights into the interaction between the immune system and the tumor microenvironment have led to the development of checkpoint inhibitors that target the PD-1/PD-L1 pathway. Pembrolizumab (MK-3475, lambrolizumab, Keytruda(®)) is a PD-1 inhibitor that has shown clinical activity in a variety of solid tumors and is currently approved for the second-line treatment of PD-L1-positive non-small-cell lung cancer and for unresectable/metastatic melanoma. This article will discuss the results of early-phase trials of pembrolizumab in thoracic malignancies as well as ongoing studies aimed to confirm clinical benefit.

Keywords: MK-3475; PD-1 or PD-L1 inhibitors; immune checkpoint inhibitors; immunotherapy; lambrolizumab; malignant pleural mesothelioma; non-small-cell lung cancer; pembrolizumab; small-cell lung cancer; targeted therapy.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / administration & dosage*
  • B7-H1 Antigen / antagonists & inhibitors
  • B7-H1 Antigen / genetics*
  • Clinical Trials as Topic
  • Humans
  • Molecular Targeted Therapy
  • Programmed Cell Death 1 Receptor / antagonists & inhibitors
  • Programmed Cell Death 1 Receptor / genetics*
  • Signal Transduction / drug effects
  • Thoracic Neoplasms / drug therapy*
  • Thoracic Neoplasms / genetics
  • Thoracic Neoplasms / pathology
  • Tumor Microenvironment / drug effects

Substances

  • Antibodies, Monoclonal, Humanized
  • B7-H1 Antigen
  • CD274 protein, human
  • PDCD1 protein, human
  • Programmed Cell Death 1 Receptor
  • pembrolizumab